Asherman’s Syndrome in Detail

January 26, 2017

 

Asherman’s Syndrome in Detail 

 

What exactly is Asherman’s Syndrome?

It is a condition where adhesions occur between the interior walls of the uterus, which can lead to infertility. 

 

Causes

We have two layers of the endometrium; the functional and the basal layers. The functional layer is the top coat, which is shed off during your monthly period. The basal layer is deeper, incompletely installed inside the myometrium, and is steady. It is responsible for the regrowth of the functional layer each month. If the basal layer is affected, irreversible damage can occur, i.e. Asherman's Syndrome (AS). So if the placenta during pregnancy is too attached to the basal layer, for instance, the basal layer can be harmed causing AS. Asherman's Syndrome can also be caused by some uterine diseases, as well as by endometrial removal or myomectomy.

 

Symptoms

1. Light periods after gynecological surgery.

Some women encounter extreme cramps when their monthly menses is expected. This is caused by the blood being unable to shed from the uterine walls, so the uterine walls contract harder to compel the blood out. In spite of what a few gynecologists say, some women have reported it is possible to have light periods if you have AS.

 

2. Repetitive miscarriage.

The onset of unexpected labor is caused by a placental suddenness. Which can lead to a subsequent emergency C-section. This spontaneous miscarriage is one of the complications of an AS pregnancy.

 

Is AS treatable?

The answer is yes! The sooner you treat it, the better, so if you are concerned that you are exhibiting these symptoms and might have AS, then you should seek examination by a medical professional as soon as possible. One treatment the professional may employ is a hysteroscopy. With this method the adhesions can be isolated which is great news because it's easy to aggravate the adhesions.

 

Prevention

The best form of prevention is to prevent the adhesions from sticking back again. As a rule, a coil might be used, or an inflatable catheter. After surgery, hormonal therapy can likewise be used to try and energize regrowth of the endometrium.

 

Precautions

Regardless of the best procedures stated, the adhesions often reform after the surgery, so rehashed surgeries might be expected to empty the uterus in the future.

 

Irrespective of the possibility that the adhesions are cleared, there is no guarantee that future pregnancy will be possible. The chances of conceiving, and birthing a healthy child are more plausible if the AS is mild. If one manages to get pregnant, she is always at a higher danger of miscarrying.

 

Most women living with AS have had babies. By and large, the pregnancy may have been a struggle, yet it is certainly possible to have a healthy infant.

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